Determinants of Successful Treatment Outcomes Amon

Authors: Suzanne E Spear Desiree CrevecoeurMacPhail Loretta Denering Daniel Dickerson MaryLynn Brecht

Publish Date: 2013/03/13

Volume: 40, Issue: 3, Pages: 330-341

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Abstract

Very few studies have analyzed the role of social environments on substance abuse treatment outcomes among urban American Indians/Alaska Natives AI/ANs This study examined a measure of positive treatment response—abstinence from substance use at treatment discharge—among urban AI/ANs in Los Angeles County The sample included all AI/ANs in outpatient drugfree eg no methadone treatment and residential treatment from 2004 to 2008 N = 811 Predictors of abstinence at discharge were a having recoveryoriented social support and b not having a difficult living situation ie experiencing family conflict and/or living with someone who uses alcohol and/or drugs Higher levels of recoveryoriented social support in the past 30 days predicted abstinence during outpatient treatment In residential treatment retention of 90 days or more high recoveryoriented social support and not experiencing difficult living situations predicted abstinence Suggestions for optimizing treatment outcomes among AI/ANs and areas of further research are providedThis research was funded in part by the County of Los Angeles Department of Public Health Office of Substance Abuse Prevention and Control SAPC The authors would like to thank the following SAPC staff members for their continued support and guidance John Viernes Wayne Sugita John Bacon Tim Duenas Tom Tran Deborah Williams David Hoang and Richard Lugo The authors would also like to thank M Douglas Anglin Christine Grella and Richard Rawson at the UCLA Integrated Substance Abuse Programs for their guidance A portion of this paper was presented at the College on Problems of Drug Dependence annual meeting in June 2010 This publication was made possible by grant number T32DA00727218 and F31DA031509 from the National Institute on Drug Abuse Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institute on Drug Abuse

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